• Title/Summary/Keyword: 병원위상

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Evaluation of usefulness of the Gated Cone-beam CT in Respiratory Gated SBRT (호흡동조 정위체부방사선치료에서 Gated Cone-beam CT의 유용성 평가)

  • Hong sung yun;Lee chung hwan;Park je wan;Song heung kwon;Yoon in ha
    • The Journal of Korean Society for Radiation Therapy
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    • v.34
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    • pp.61-72
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    • 2022
  • Purpose: Conventional CBCT(Cone-beam Computed-tomography) caused an error in the target volume due to organ movement in the area affected by respiratory movement. The purpose of this paper is to evaluate the usefulness of accuracy and time spent using the Gated CBCT function, which reduces errors when performing RGRT(respiratory gated radiation therapy), and to examine the appropriateness of phase. Materials and methods: To evaluate the usefulness of Gated CBCT, the QUASARTM respiratory motion phantom was used in the Truebeam STxTM. Using lead marker inserts, Gated CBCT was scaned 5 times for every 20~80% phase, 30~70% phase, and 40~60% phase to measure the blurring length of the lead marker, and the distance the lead marker moves from the top phase to the end of the phase was measured 5 times. Using Cedar Solid Tumor Inserts, 4DCT was scanned for every phase, 20-80%, 30-70%, and 40-60%, and the target volume was contoured and the length was measured five times in the axial direction (S-I direction). Result: In Gated CBCT scaned using lead marker inserts, the axial moving distance of the lead marker on average was measured to be 4.46cm in the full phase, 3.11cm in the 20-80% phase, 1.94cm in the 30-70% phase, 0.90cm in the 40-60% phase. In Fluoroscopy, the axial moving distance of the lead marker on average was 4.38cm and the distance on average from the top phase to the beam off phase was 3.342cm in the 20-80% phase, 3.342cm in the 30-70% phase, and 0.84cm in the 40-60% phase. Comparing the results, the difference in the full phase was 0.08cm, the 20~80% phase was 0.23cm, the 30~70% phase was 0.10cm, and the 40~60% phase was 0.07cm. The axial lengths of ITV(Internal Target Volume) and PTV(Planning Target Volume) contoured by 4DCT taken using cedar solid tumor inserts were measured to be 6.40cm and 7.40cm in the full phase, 4.96cm and 5.96cm in the 20~80% phase, 4.42cm and 5.42cm in the 30~70% phase, and 2.95cm and 3.95cm in the 40~60% phase. In the Gated CBCT, the axial lengths on average was measured to be 6.35 cm in the full phase, 5.25 cm in the 20-80% phase, 4.04 cm in the 30-70% phase, and 3.08 cm in the 40-60% phase. Comparing the results, it was confirmed that the error was within ±8.5% of ITV Conclusion: Conventional CBCT had a problem that errors occurred due to organ movement in areas affected by respiratory movement, but through this study, obtained an image similar to the target volume of the setting phase using Gated CBCT and verified its usefulness. However, as the setting phase decreases, the scan time was increases. Therefore, considering the scan time and the error in setting phase, It is recommended to apply it to patients with respiratory coordinated stereotactic radiation therapy using a wide phase of 30-70% or more.

A Study of Brand Design Strategies for Small & Medium Hospital Moment of truth (중소병원 고객접점을 통한 브랜드디자인 전략 도출 연구)

  • Park, Hyun Min;An, Seyun
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.247-248
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    • 2017
  • 병원들의 대형화와 전문 진료를 내세워 병원 브랜드 강화에 힘쓰는 병원들이 늘어나면서 병원에서의 마케팅이 필요하게 됐다. 본 연구는 중소병원(300병상이하 종합병원과 병원을 말함.)의 고객접점을 파악하여 효율적이고 효과적인 브랜드 개발이 가능한 중소병원 브랜드디자인 표현 포지셔닝 전략(기업이나 제품에 대하여 위상을 정립하고, 소비자들에게 자사 제품의 정확한 위치를 인식시키는 것이다.)을 제공하고자 한다.

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Improvement of internal/external customer satisfaction through standard manual and animation on correct language expression (바른 언어 표현법 매뉴얼과 동영상 구축을 통한 내부 및 외부 고객의 만족도 증진)

  • Lee, Hyun Jung;Park, Seung Hye
    • Quality Improvement in Health Care
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    • v.17 no.1
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    • pp.61-66
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    • 2011
  • 문제: 병원에서는 잘못 사용하는 신체 관련 언어, 문법적으로 틀린 말, 비속어, 지나친 겸양어, 잘못 사용하는 존칭어, 격에 안 맞는 준말 등으로 내부 및 외부 고객과의 의사전달이 정확하지 않은 경우가 흔히 있다. 병원 직원의 부적절한 언어 사용은 외부 고객 유치 및 유지를 방해하며, 병원의 이미지 실추와도 관련이 있다. 목적: 바른 언어 표현법 매뉴얼과 동영상 구축 및 활용으로 내부 및 외부 고객의 만족도를 향상시키고자 한다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 바른 언어 표현법 매뉴얼 구축 후 동영상을 완성하여 병원의 모든 직원들이 학습하여 활용할 수 있도록 하였다. 개선효과: 바른 언어 표현법을 잘 학습하면 바른 언어를 사용하는 습관을 가지게 되어 의사전달이 명확해지고 표현이 풍부해지며 상호간 이해하는 폭이 넓어져 내부 고객 및 외부 고객의 만족도가 향상될 것이다. 또한 병원직원 전체 언어생활의 품격이 높아질 뿐만 아니라 병원의 위상도 높아질 것이다.

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MicroRNA Profile in the Helicobacter pylori-infected Gastric Epithelial Cells (Helicobacter pylori 감염 위상피세포에서 MicroRNA 발현 변화)

  • Chang Whan Kim;Sung Soo Kim;Tae Ho Kim;Woo Chul Chung;Jae Kwang Kim
    • Journal of Digestive Cancer Research
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    • v.5 no.2
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    • pp.105-112
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    • 2017
  • Background: The expression of miRNAs in response to Helicobacter pylori infection has not been well explored. The aims of this study were to evaluate the H. pylori associated miRNAs in the gastric epithelial cells. Methods: We investigated gastric epithelial cell-line (HS3C) exposed H. pylori over 3 months and AGS cell-line (AGS) exposed H. pylori for 6 hour. After the extraction of miRNA from these cell-lines, microarray and real time PCR were performed to confirm the alteration of expression. Results: All 12 miRNAs chosen for real-time PCR are based on the result of microarray and their potential functions related to H. pylori infection. miR-21, miR-221, miR-222 were upregulated in the H. pylori infected AGS cell for 6 hours and HS3C cells. miR-99b, miR-200b, miR-203b and miR-373 were downregulated in the H. pylori infected AGS cell for 6 hours and HS3C cells. miR-23a, miR-23b, miR-125b, miR-141 and miR-155 were upregulated in HS3C cell line but not in H. pylori infected AGS cell for 6 hours. Conclusion: miR-21, miR-99b, miR-125b, miR-200b, miR-203b, miR-221, miR-222, and miR-373 are supposed to be related with oncogenesis of H. pylori infection. Further studies are needed for the evaluation of the function of these confirmed miRNAs.

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